20th July 2020

A 41-year-old gentleman with known long standing ulcerative colitis presented to his GP with 3 months of unresolved right upper quadrant pain, lethargy and wide-spread pruritus

A 41-year-old gentleman with known long standing ulcerative colitis presented to his GP with 3 months of unresolved right upper quadrant pain, lethargy and wide-spread pruritus. Further testing revealed a positive magnetic resonance cholangiopancreatography (MRCP) finding of a “beads on a string” like picture. He is then referred to a specialist who explains to him that he is malnourished as a natural consequence of this disease progression and requires supplements.

Which of the following vitamins may require replacing in the future as part of the disease progression? Select THREE options only.